LISA ELEANOR ST BERNARD DMD - Dentist License in Illinois | # 019030928

LISA ELEANOR ST BERNARD DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030928

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

LISA

Middle

ELEANOR

Last Name

ST BERNARD

Business Name

LISA ELEANOR ST BERNARD DMD

Original Issue Date

08/08/2016

Effective Date

08/20/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022